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Alpramax (Alprazolam)

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Alpramax is used to treat anxiety and panic disorders. It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). Alpramax is mostly used to treat anxiety disorders, panic disorders, and nausea due to chemotherapy. Alpramax may also be indicated for the treatment of generalized anxiety disorder, as well as for the treatment of anxiety conditions with co-morbid depression. The FDA label advises that the physician should periodically reassess the usefulness of the drug.

Other names for this medication:
Alcalm, Alcicalm, Alpram, Alprine, Altin, Altrex, Alwe, Alzam, Alzex, Alzin, Alzopax, Anzocalm, Betapax, Cozac, Depoxit, Destres, Dexolam, Dizeral, Flumusa, Fluxozam, Imprax, Niravam, Nokzok, Notens, Nucalm, Omelam, Ozolam, Pronil, Propnix, Restyl, Setlan, Somaspas, Somnirest, Tenil, Tenscure, Tensfree, Tenzorid, Trustin, Zolark, Zolent, Zoloid

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Also known as: Alprazolam


Alpramax is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). Alprazolam affects chemicals in the brain that may be unbalanced in people with anxiety. Alpramax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

You should not use Alpramax if you have narrow-angle glaucoma, if you also take itraconazole or ketoconazole, or if you are allergic to Alpramax or similar medicines (Valium, Ativan, Tranxene, and others).

Alprazolam may be habit-forming. Misuse of habit-forming medicine can cause addiction, overdose, or death.

Do not drink alcohol while taking Alpramax. This medication can increase the effects of alcohol. Alprazolam may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.


Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.

Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Measure the liquid form of Alpramax with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not swallow the orally disintegrating tablets whole. Allow it to dissolve in your mouth without chewing.

Contact your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

You may have seizures or withdrawal symptoms when you stop using Alpramax. Ask your doctor how to avoid withdrawal symptoms when you stop using Alpramax.

Keep track of the amount of medicine used from each new bottle. Alpramax is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Alpramax XR can be fatal.

Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, fainting, and coma.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

It is very important to protect the orally disintegrating tablets from moisture. Remove and throw away any cotton packaging from the medicine bottle when you first use the medicine.

Detailed Alpramax dosage information

Side effects

The most common side effects associated with Alpramax are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Avoid drinking alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

Grapefruit may interact with alprazolam and lead to unwanted side effects. Avoid the use of grapefruit products.

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Hyperglycemia does not increase basal hypothalamo-pituitary-adrenal activity in diabetes but it does impair the HPA response to insulin-induced hypoglycemia. Clinicopathologic factors related to metastasis in retinoblastoma. Prospective audit and feedback constitute an effective strategy for reducing the cost and use of antimicrobials, as well as their adverse effects, such as infection with Clostridium difficile. The NMDSP has recommended that screening should be expanded, but issues of cost and the establishment of a sustainable infrastructure of comprehensive medical services must be addressed. Our goals were to establish a model of CTA in newborn swine to see if tolerance could be obtained without immunosuppression and to assess rejection or tolerance properties via clinical and histologic examinations. To investigate the hypoglycaemic properties and to determine the molecular mechanism by which the hydroalcoholic extract of the leaves of Persea americana reduce blood glucose levels in streptozotocin (STZ)-induced diabetes in rats via the enzymatic pathway of protein kinase B (PKB/Akt). Nausea and vomiting do not appear to be associated with fetal morbidity, malnutrition or death. (2) Intracellular staining with Procoin yellow has allowed the construction of a soma map and tentative identification of axonal projections of the cyberchron neurons. A corneal alkali burn was made by placing a circular piece of filter paper containing 1 N NaOH on the central cornea of rabbits. Our data indicate that TNF may be at least partly responsible for the reduction of EPC seen in patients with RA.

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We discuss possible involvement of different expression of cytoprotective genes in the selection of cell subpopulations, which demonstrate a broad spectrum of resistance. Acute stroke patterns in patients with internal carotid artery disease: a diffusion-weighted magnetic resonance imaging study. Asymmetric resonant cavities with highly noncircular but convex cross sections are predicted theoretically to have high-Q whispering gallery modes with highly anisotropic emission. The norm established can basically represent the occupational stress on professionals in Chengdu and Chongqing area. The reference standard was defined as a combination of pathology (biopsy results that showed in situ or infiltrating ductal carcinoma or infiltrating lobular carcinoma in the breast or axillary lymph nodes) and 12-month follow-up.

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Effects of lipid composition and preparation conditions on physical-chemical properties, technological parameters and in vitro biological activity of gemcitabine-loaded liposomes. After sacrifice, spinal cord sections were histologically analyzed for presence of graft-derived immune cells, host immune response, tissue sparing, glial scar formation, and grafting efficacy. Furthermore, we show that adoptive immunotherapy of an established B16 tumor can be significantly enhanced by overexpressing Bcl-2 in melanoma-specific T-cell receptor transgenic T cells. Response of methicillin-resistant Staphylococcus aureus to amicoumacin A. epidermidis than were TS antigens, but the use of both TS and TL antigens provided a better serologic system than use of either TS or TL antigens alone. In a malignant keratinoctye cell line, phosphorylation of the retinoid X receptor alpha occurs through the activated Ras-MAP kinase pathway and results in attenuated trans-activation by the vitamin D receptor, its heterodimeric partner.

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Coffin-Lowry syndrome (CLS) is a syndromic form of X-linked mental retardation, which is characterized in male patients by psychomotor and growth retardation and various skeletal anomalies. Measurement of the thermoviscoelastic behavior of glass-forming liquids in the nanometer size range offers the possibility of increased understanding of the fundamental nature of the glass-transition phenomenon itself. Endoscopic ultrasonography was also performed to assess the depth of invasion in 22 cases with 22 lesions. The decreased number of errors (increased performance) with repeated testing alerts clinicians to the need for care when using this test protocol to measure rehabilitation interventions. To examine the role of BMP-2 and its receptors, we studied the ability of BMP-2 to promote survival of isolated neonatal rat cardiac myocytes. New data concerning the acid-induced fluorescence of ecdysones showed alpha-ecdysone to be twice as fluorescent as 20-hydroxyecdysone. Unfortunately, these advances have largely been confined to the treatment of adenocarcinomas.

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The aim of this literature review is to precise definition, anatomoclinical entities and natural history of endometriosis to allow clinical guideline establishment. Substitution of Thr for Ala-237 in TEM-17, TEM-12 and TEM-26: alterations in beta-lactam resistance conferred on Escherichia coli. Rugulosuvines A and B--diketopiperazine alkaloids from Penicillium rugulosum and Penicillium piscarium fungi. In the case of the implantation of uncoated stainless steel stents, both the number of activated circulating thrombocytes and the level of platelet reactivity (number of thrombocytes circulating in the plasma as aggregates) were notably higher than in the system with polymer-coated stents. They indicate the importance of early detection of the disease and the need for preventive health care programs geared toward young subjects. Measuring DNA-protein binding affinity on a single molecule using optical tweezers.

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Suppression of neurogenesis by chronic treatment with corticosterone is associated with depression-like biology and behaviour making comparison with human depression and its response to ECT relevant. Status of the urinary bladder constructed from the rectum at immediate and remote intervals following surgery. A mannose-containing sialooligosaccharide has been isolated from the urine of a patient with a newly recognized mucolipidosis which showed a low liver beta-galactosidase activity and hyperglycopeptiduria. Storage conditions were: 2 mometasone topical brand hr at room temperature, 12 hr of refrigeration, and a sequence of both of these conditions. Allergic contact dermatitis from methyldibromo glutaronitrile in a sanitary pad and review of Australian clinic data.

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Ventilation with helium-oxygen in place of air-oxygen mixtures can influence both the droplet size distribution and mass of nebulized aerosol delivered through patient breathing circuits. The Carpentier-Edwards PERIMOUNT Pericardial Bioprosthesis is a reliable choice for a tissue valve in the mitral position, especially in patients more than 60 years of age. Our data show that only one region in the ventromedial prefrontal cortex (VMPFC) controlled negative affective responses and reduced the degree of subjectively perceived unpleasantness independent of the experimental domain. A centromere attribute integration approach to centromere identification. The view interpolation in the first step can be achieved simply by linear filters that are designed to shift different object regions separately, without region segmentation. Increasing intraparticle perfusive transport with increasing pore size of silica favorably affected peak efficiency and resolution of enantiomers, although some decrease of separation factor was observed in the pore size range 60-200 A. Balloon Foley catheter compression as a treatment for intercostal vessel bleeding. We report the case of a surgically inaccessible nasopharyngeal dendritic cell sarcoma, NOS, in a 34-year-old man.

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However, we noted that retinoic acid treatment without prior aggregation, is sufficient to induce expression of the neuronal markers GAP-43 and NF-165. Peripheral nerve explants grafted into the vitreous body glucophage drugs of the eye promote the regeneration of retinal ganglion cell axons severed in the optic nerve. The diagnosis of osteoporosis is based on the bone mineral density measurement using DXA technology, but the concept of bone quality mainly related to bone architecture is of great interest. DEHYDROGENASE ACTIVITY IN EXPERIMENTAL RETINAL ISCHEMIA IN RABBITS. These findings contribute to our understanding of corneal stromal cell biology in health and disease and their interaction with biomaterials and their native extracellular matrix.

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Membrane topology of the Streptomyces lividans type I signal peptidases. Even those happy to use a word processor will often steer clear of database programs since they are often regarded as only useful to people who have special expertise with computers. Additionally, it has been assumed that Mas could interact directly or indirectly with the renin-angiotensin system. Tensions were about 0.19 MPa at low external pressure, but diminished as wall yielding was inhibited. Effect of the maternal betaE-globin gene on hematologic responses to iron supplementation during pregnancy.

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The surface hydrophobicity of different types of bacteria in activated neurontin medication drug class sludge were investigated under in situ conditions by following the adhesion of fluorescent microspheres with defined surface properties to bacterial surfaces (the MAC-method). In this column, the author is reminded that maternity fashion and her own sense of clothing styles often leave much to be desired. For all the echovirus 30 isolates during the outbreaks in Zhangqiu city in 2003, complete VP1 genes were determined. We completed a retrospective chart audit to assess our adherence to Physician Quality Reporting Initiative guidelines. Hemophilia is an ancient disease which was not defined until the 1940s. Control methods, including oral rabies vaccination (ORV) programs, have led to a reduction in the spread and prevalence of the disease in wildlife.

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Deletion of a second heparin binding domain sequence (Gln(270)-Lys(280)) yielded an inactive enzyme that failed to interact with cell surface heparan sulfate and hence accumulated in the culture medium of transfected HEK 293 cells to exceptionally high levels. Further, optical and electron microscopic studies indicate that the MBP precipitate is not an amyloid. After 8 weeks of antituberculous therapy regression of lung lesions and healing of the tongue were observed. The aim of this study was to study the interference of the extracellular proteins produced by Lactobacillus plantarum BMCM12 with the adhesion of some well-known gut pathogens. In the case of the candidate gene section, a brief report of the functional relevance of each gene is included. Pregnant women are at an increased risk of venous thromboembolism (VTE) and the consequences of an acute event in pregnancy can be debilitating, long-lasting or fatal. Long-term results of unicompartmental arthroplasty (UCA) in medial osteoarthritis are analyzed and the influencing covariates were explored. Identification of the nature of this genetic contribution should enhance understanding of the pathophysiology of PTSD and suggest improved therapeutic strategies for its treatment. Vaccinations have been reported as a triggering factor, and they may be a frequent cause of EM in childhood.

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Then the chaotic behavior was evaluated by measuring the short-term largest Lyapunov exponent (STLmax). The 11 golf novices between the age of 40 and 60 years practiced the motor training as leisure activity. Oxygen-induced seizures and inhibition of human glutamate decarboxylase and porcine cysteine sulfinic acid decarboxylase by oxygen and nitric oxide. This pattern has been described in many high-intensity occupations, and the individuals at highest risk of developing burnout appear to be those in intense caregiving roles. Detection of QTL for yield-related traits using recombinant inbred lines derived from exotic and elite US Western Shipping melon germplasm. We attribute the nonlinearity of these glasses to the large molar refraction of glasses containing Bi(2)O(3). In two temperature-sensitive ftsZ mutants which form filaments with smooth morphology, the Z ring was unable to form. Findings indicated that patients with schizophrenia who were treated by psychiatrists had complex clinical problems and were markedly disabled.

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Potential copers, compared to uninjured subjects, also had a lower vertical ground reaction force during loading response, a lower knee support moment, and an increased ankle support moment during walking. As in a healing wound, hypoxia causes growth factor release within the arterial media. Diagnosis of latex allergy consists of four methods: anamnesis, skin tests, laboratory examinations and specific allergen challenge. Immunohistochemical and morphological studies on the human fetal cochlea: a comparative view on methods. Data are presented by using odds ratios for dichotomous outcomes and mean differences for continuous outcomes.

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Novel imaging strategies focused on glutamine could provide a valuable complement to (18)F-FDG PET, because glutamine complements glucose in the metabolic platforms that support tumor growth at the cellular level. Due to low phosphorylation stoichiometry, direct detection and imaging of protein phosphorylation by MS has not been achieved yet. The obtained polyclonal antibodies were tested against HRSV infected cells in immunofluorescence assays. Our previous study demonstrated that 6-fluoro-(3-fluorophenyl)-4-(3-methoxyanilino)quinazoline (LJJ-10) can you take prilosec pills while pregnant possesses potential anticancer activity and exhibits greater antitumor effect than the other quinazoline compounds in human osteogenic sarcoma U-2 OS cells via in vitro screening. We study the critical behavior of the Laplacian roughening model, which describes the growth of tensionless surfaces. This review summarizes the present knowledge on salvinorin A and its analogues, with a focus on the effects on gastrointestinal tissues.

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